Potentially
life-threatening
symptoms or conditions
demand immediate treatment. If
you think you have
a condition requiring
emergency medical treatment,
do not hesitate to
call 911 or go to the
nearest hospital emergency
room.
This is how we define an emergency medical condition:
An emergency medical condition manifests as acute symptoms of sufficient severity (including severe pain) such that a prudent layperson, who possesses an average knowledge of health and medicine, could reasonably expect the absence of immediate medical attention to result in:
- Placing
the health
of the
individual
(or, with
respect
to a pregnant
woman,
the health
of the
woman and
her unborn
child)
in serious
jeopardy
- Serious
impairment
to bodily
functions
- Serious
dysfunction
of any
bodily
organ or
part
The existence of severe
pain and other systems
may constitute an
emergency condition.
Here are some examples
of an emergency medical
condition:
- Apparent heart attack
- Stupor
- Uncontrolled bleeding
- Severe or multiple injuries
- Unconsciousness
- Head injuries
- Broken bones
- Severe pain
- Convulsions
- Difficulty breathing
- Poisoning
- Severe burns
If you
receive
emergency
treatment,
notify
your PCP’s office within 24-48 hours, or as soon as possible. Your
PCP will
help arrange
for follow-up
care if
it is
needed.
Urgent Care. Sometimes
situations
occur
that,
in your
judgment,
require
prompt
medical
attention,
but they
do not
require
emergency
care. Those
are considered urgent situations. For urgently needed care, call your PCP for advice. You
may need
to make
an appointment
to be
seen right
away,
or you
may need
to go
to an
urgent
care center
affiliated
with Valley
Care IPA.
Do
not go
to an urgent
care center
without
first calling
your PCP’s
office
and having
an urgent
care center
visit approved. Urgent
care
center
visits
are
approved
only
after
normal
office
hours,
on
weekends
and
over
holidays.
Here are
some examples
of urgent
care situations that
are
best treated
in your
PCP’s
office
or an
urgent
care center:
- Colds
or flu
- Minor
sprains
- Contagious
viruses
(measles,
chicken
pox
- Longlasting
or
high
fevers
- Ear infections
- Muscle
pulls and
strains
- Mild allergic reactions
Important! Do
not rely
on these
or any other
list of emergency
medical
conditions and urgent
situation. Sometimes
it can be
difficult
to tell
how serious
your condition
is. Use
your judgment,
but whenever
possible,
call your
PCP for
medical
advice.